Thrombolytic vs Fibrinolytic vs Anticoagulant agents

There is sometimes confusion among medical students that what’s the difference between the thrombolytic agents, fibrinolytic agents and the anticoagulants. In this article we’ll study the difference between them and also learn which drugs or agents perform each of these actions. Lets check out what are these blood thinners and what’s the difference between each … Read more

Drugs used in VT and SVT

This post simply summarizes drugs used in ventricular tachycardia and supra-ventricular tachycardia. Note: this post is meant to give a brief quick review for when to use amiodrone, verapamil, lidocaine and adenosine. Drugs used in Ventricular Tachycardia (VT) Lidocaine: It’s drug of choice in post MI ventricular tachycardia. Amiodrone: amiodrone can be given in both … Read more

Pollen allergy season in Islamabad, Pakistan

March and April are the months of pollen allergy in Islamabad, Pakistan. The influx of patients to the emergency department with aggravated asthma in these months is too high. P.I.M.S (Pakistan Institute of Medical Sciences) has set up a seperate allergy clinic for asthma allergy patients in emergency to manage the patients as soon as … Read more

Significance of eosinophils in allergic reactions

Various cell lines and their variations in complete blood picture has their significance in determining the type of infection or reaction going on in the body. Eosinophils are usually indicative of any allergic reaction going on in the body. Significance of eosinophils in allergic reactions Eosinophils are generally associated with antigen-antibody reactions taking place int … Read more

What is meant by “shift to left” of neutrophils

Have you ever heard “shift to left” in diagnostic criteria of some disease (e.g appendicits – mantrels scoring system). Let’s discuss what’s exactly meant by this term, shift to left. What is meant by left shift neutrophils First of all we need to have a brief background. Less mature neutrophils are called bands or stabs … Read more

Neutrophils count in bacterial & viral infections

Although not applicable in all cases, neutrophils count in acute infection can be indicative of a bacterial or a viral infection. Note as I mentioned it’s not applicable in all cases and all patients. So use this as supportive finding along with other findings to come up to the conclusion while diagnosing a patient with … Read more

How to manage low blood pressure at home in emergency

Hypotension, low blood pressure, can happen anywhere under certain circumstances where no medical help is available. What to do in such situation when your blood pressure drops and you don’t have any doctor or hospital around . . . ? keep reading to know! Emergency treatment for low blood pressure (hypotension) First of all, make … Read more

What does a house officer do in PIMS, General medicine

Well, this might vary from hospital to hospital and country to country, but I’ll share what we have here in PIMS, Islamabad, for the house officers. This is what I’ve experienced myself during my housejob in General Medicine team- 2 of Dr Rauf Niazi in Pakistan Institute of Medical Sciences, Islamabad, the tertiary care hospital … Read more

Significance of Pulse Pressure

What is pulse pressure ? Pulse Pressure (PP) is the difference between systolic and diastolic blood pressure values. In lay mans terms, pulse pressure is the difference between the highest and the lowest values of your blood pressure. For example, if you have a blood pressure of 120/80 then your pulse pressure would be 120 … Read more